A clinical and nutritional strategy aimed at enhancing the hepatic biotransformation and elimination pathways for both endogenous waste products and exogenous toxins, including spent hormones and xenobiotics. This support is critical for maintaining hormonal homeostasis, as the liver is the primary site for steroid hormone conjugation and clearance. Effective support involves providing cofactors for Phase I and Phase II detoxification.
Origin
This concept is a cornerstone of toxicology and functional medicine, stemming from the detailed biochemical understanding of the liver’s two-phase detoxification process. Clinical practice has long recognized that hepatic function is a rate-limiting step in achieving hormonal balance.
Mechanism
Support primarily targets the cytochrome P450 enzymes (Phase I) which modify toxins via oxidation, and the conjugation enzymes (Phase II) which attach water-soluble groups for excretion. Key nutrients like B vitamins, magnesium, and antioxidants facilitate Phase I activity, while sulfur-containing amino acids, glycine, and glutamine are essential cofactors for the various Phase II conjugation pathways, ensuring the safe and efficient removal of harmful metabolites.
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